Alexa Mary Clare Gavaga

NPI #1093166266 in Oconto Falls, Wisconsin

Provider Information

NPI Number: 1093166266
Entity Type: Individual
Name: Alexa Mary Clare Gavaga
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Enumeration Date: Jun 28, 2016
Last Updated: Aug 30, 2019

Practice Location

Address: 835 S MAIN ST STE 1
City: Oconto Falls
State: Wisconsin
ZIP Code: 54154-1282
Phone: (920) 855-2823

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Internal Medicine	207R00000X	Primary

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